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CTRI Number  CTRI/2025/08/092446 [Registered on: 05/08/2025] Trial Registered Prospectively
Last Modified On: 02/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Unani 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   compare the effect of cupping with Roghan-e-Babuna and Short Wave Diathermy in non-specific low back pain.  
Scientific Title of Study   A randomized comparative clinical study to evaluate the effect of Hijama Mutaharrika with Roghan-e-babuna and Short- wave diathermy in the management of Waja’al- zahr (non-specific low back pain).  
Trial Acronym  LBP 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mantasha Khan 
Designation  PG scholar 
Affiliation  State unani medical college and hospital, Himmatganj,Prayagraj, Uttar pradesh (211016) 
Address  Department of Ilaj-Bit-Tadbeer (IBT), State unani medical college and hospital, Himmatganj,Prayagraj, Uttar pradesh (211016) Allahabad UTTAR PRADESH 211016 India
Department of Ilaj-Bit-Tadbeer (IBT), State unani medical college and hospital, Himmatganj,Prayagraj, Uttar pradesh (211016) Allahabad UTTAR PRADESH 211016 India
Allahabad
UTTAR PRADESH
211016
India 
Phone  7985601983  
Fax    
Email  khanmantasha1506@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bushra Aftab 
Designation  Reader 
Affiliation  State unani medical college and hospital, Himmatganj,Prayagraj, Uttar pradesh (211016) 
Address  Department of Ilaj-Bit-Tadbeer (IBT), State unani medical college and hospital, Himmatganj,Prayagraj, Uttar pradesh (211016) Allahabad UTTAR PRADESH 211016 India
Department of Ilaj-Bit-Tadbeer (IBT), State unani medical college and hospital, Himmatganj,Prayagraj, Uttar pradesh (211016) Allahabad UTTAR PRADESH 211016 India
Allahabad
UTTAR PRADESH
211016
India 
Phone  8279747882  
Fax    
Email  drbushraaftab@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Bushra Aftab 
Designation  Reader 
Affiliation  State unani medical college and hospital, Himmatganj,Prayagraj, Uttar pradesh (211016) 
Address  Department of Ilaj-Bit-Tadbeer (IBT), State unani medical college and hospital, Himmatganj,Prayagraj, Uttar pradesh (211016) Allahabad UTTAR PRADESH 211016 India
Department of Ilaj-Bit-Tadbeer (IBT), State unani medical college and hospital, Himmatganj,Prayagraj, Uttar pradesh (211016) Allahabad UTTAR PRADESH 211016 India
Allahabad
UTTAR PRADESH
211016
India 
Phone  8279747882  
Fax    
Email  drbushraaftab@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  State unani medical college and hospital 
Address  Department of Ilaj-Bit-Tadbeer (IBT), State unani medical college and hospital, Himmatganj,Prayagraj, Uttar pradesh (211016) 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Mantasha Khan  State unani medical college and hospital, Himmatganj,Prayagraj, Uttar pradesh (211016)  Room no. 4, ground floor, Department of Ilaj-Bit-Tadbeer (IBT), State unani medical college and hospital, Himmatganj,Prayagraj, Uttar pradesh (211016)
Allahabad
UTTAR PRADESH 
7985601983

khanmantasha1506@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M545||Low back pain,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Hijama Mutaharrika (Gliding cupping)  in this procedure, massage oil is applied to the affected area. A sterilized cup is then carefully placed and a slight negative pressure (half and one pull) is created with a manual pump. The cup is glided over the area for 5 minutes. afterthat four cups are placed on the lumbosacral region and left for another 5 minutes. finally, the cup is removed following standard cupping removal procedures. 
Comparator Agent  Short wave Diathermy (SWD)  Patient of this group will be treated with Short-wave Diathermy. The condenser of pads of short- wave diathermy will be applied on lumbosacral region with 1 or 2 inch space between skin and pads provided by tarry cloths and left for 10 min. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Patients willing to participate in the study and follow the instruction.
2. Age group 20 to 60 years.
3. Patients of both genders.
4. No radiation of low back pain in other region.
5. Clinically or radiologically diagnosed patients of waja’al-zahr.
6. ODI scoring: 10 percent to 60 percent (mild to severe)
7. No apparent spine deformity like Kyphosis, Scoliosis and Lordosis etc.
8. BMI more than 29kg/m2. 
 
ExclusionCriteria 
Details  1. Patient below age 20 years and above 60 years
2. H/O Tumor or malignancy
3. Pregnant and lactating women
4. Diabetic and Hypertensive patients
5. Patient of Rheumatoid Arthritis and Gout.
6. H/O Trauma or surgery of lumbosacral region
7. Patient on steroid therapy
8. Patients taking analgesic drug treatment in
past one week. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. VAS
2. Oswestry low back pain questionnaire. 
7th,14th,21st,28th day 
 
Secondary Outcome  
Outcome  TimePoints 
SF36
 
0 to 28th days. 
 
Target Sample Size   Total Sample Size="56"
Sample Size from India="56" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   20/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Low back pain is a prevalent issue worldwide affecting numerous individuals in modern times. In Unani system of medicine Waja occurs due to abrupt changes in the temperament of Su e mizaj Mukhtalif and Tafarruq e Ittesal. The newly developed abnormal temperament becomes hot or cold contrary to the original temperament and causes pain. Low back pain is a disease in which pain arises from internal and external muscles and ligaments surrounding the lumbar and lumbosacral region. It is a common disorder in urban and rural population, which is associated with substantial morbidity for about 80 percent of the general population not only in industrialized world but also in rural communities. Low back pain is divided into two categories: 1. Specific 2. non- specific. In specific low back pain the cause can be detected and In Non-specific low back pain there is no specific cause can be detected. The prevalence of LBP is also concerning in India affecting nearly 60 percent of the population at some point of their lives.The annual occurrence of the low back pain is estimated 5 percent per year, leading to prevalence ranging from 60 to 90 percent. This condition limits the functional ability, impacting occupational activities and imposing a significant socio-economic burden. In Allopathic system of medicine initial treatment of low back pain often involve the use of certain topical and systemic analgesics and anti-inflammatory drugs such as Acetaminophen, NSAIDS and steroid therapy. Though, they relieve pain and symptoms with high recurrence ratealong with causing certain adverse effects like hepatotoxicity, nephrotoxicity and gastrointestinaltoxicity. As there seems to be lack of permanent relief solution and need for alternative approaches that are both effective and safe. There are different kind of treatment in the Unani system of medicine which are more effective than Allopathic system of medicine. In Ilaj-Bit- Tadbeer various regimens such as- Hijama (cupping), Dalk(massage), Abzan(sitz bath) and Fasd(Venesection), Nutool (irrigation), riyazat (exercise) and taleeq(leeching ) etc. are more effective and devoid of any side effect.  
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